Active NPI
Kelsea Delegato
- Mechanotherapist
- Portland, OR
National Provider Identifier
1184009177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 21445
- Practice address
- 3543 NE Broadway St
Portland, OR 97232-1820 - Phone
- (971) 351-2270
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 21445 | OR | Primary |
Addresses
Primary practice location
3543 NE Broadway St
Portland, OR 97232-1820
Mailing address
3241 NE Broadway St
Portland, OR 97232-1814
Phone (503) 282-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21445 | OR | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somatic Inc | Current | Accepting new patients |
Locations
3543 NE Broadway St
Portland, OR 97232
Phone (971) 351-2270
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1184009177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321814",
"telephone_number": "503-282-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321820",
"telephone_number": "971-351-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEGATO",
"first_name": "KELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "21445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.